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Biomedical subjects

S Tamura

Publications and source records attributed to S Tamura.

At least 919 records · Page 51Linked to original sources

Intrathymic inoculation of donor HLA class I-derived peptide generates donor-specific CD4+CD25+ regulatory T cells.

CD4(+)CD25(+) regulatory T cells are selected in the thymus to control autoreactive thymic escapees preventing autoimmunity that cannot be achieved by negative selection or deletion alone, thus playing an important role in the maintenance of immunological homeostasis. Not only significant in preventing autoimmunity, CD4(+)CD25(+) regulatory T cells have also been shown to be involved in allograft tolerance in organ transplantation. We have formerly introduced two lines of HLA class I transgenic mice to elucidate the role of HLA class I molecules in transplantation biology. Using a heterotopic cardiac transplantation model, we show herein that intrathymic inoculation of donor HLA class I-derived synthetic peptide results in the generation of CD4(+)CD25(+) regulatory T cells, which induce graft specific tolerance without any preconditioning of the recipient or use of immunosuppressive drugs. This study provides evidence of the novel therapeutic potential of CD4(+)CD25(+) regulatory T cells for clinical transplantation.

Amino Acid Sequence↗

Mutants of Escherichia coli heat-labile enterotoxin as an adjuvant for nasal influenza vaccine.

The effectiveness and safety of known mutants of Escherichia coli heat-labile enterotoxin (LT) as an adjuvant for nasal influenza vaccine were examined. Six mutants, called LT7K (Arg to Lys), LT61F (Ser to Phe), LT112K (Glu to Lys), LT118E (Gly to Glu), LT146E (Arg to Glu) and LT192G (Arg to Gly) were constructed by the replacement of one amino acid at one position of the A1 subunit to another using site-directed mutagenesis. All mutants were confirmed to be less toxic than wild-type LT when analyzed using Y-1 adrenal cells in vitro. When influenza vaccine was administered intranasally with LT7K and LT192G, BALB/c mice developed high levels of serum and local antibodies to the HA molecules. The adjuvant activity of these mutant LTs corresponded to that of wild-type LT when 1 microgram of these mutant LTs (or wild-type LT) was coadministered with the vaccine. From the point of view of safety, LT7K was considered to be the most potent mucosal adjuvant and was examined in more detail. The adjuvant activity of the mutant was lowered more rapidly with a decrease in dose than was that of wild-type LT. The low level of adjuvant of a relatively small amount of LT7K was heightened by adding LTB to the mutant LT. These results suggest that LT7K supplemented with LTB can be used as a less toxic, effective adjuvant for nasal influenza vaccine.

Adjuvants, Immunologic↗

Segmentation of avascular necrosis of the femoral head using 3-D MR images.

Avascular necrosis of the femoral head (ANFH) is a common clinical disorder in the orthopedic field. Traditional approaches to study the extent of ANFH rely primarily on manual segmentation of clinical magnetic resonance images (MRI). However, manual segmentation is insufficient for quantitative evaluation and staging of ANFH. This paper presents a new computerized approach for segmentation of necrotic lesions of the femoral head. The segmentation method consists of several steps including histogram based thresholding, 3-D morphological operations, oblique data reconstruction, and 2-D ellipse fitting. The proposed technique is rapid and efficient. In addition, it is available as a Microsoft Windows free software package on the Internet. Feasibility of the method is demonstrated on the data sets of 30 patients (1500 MR images).

Femur↗

Interstitial lung diseases: evaluation of the performance of a computerized analysis system versus observers.

We have been developing a computerized analysis system to detect interstitial lung abnormalities on chest radiographs. In this study, we evaluated the performance of our computerized analysis system and compared it with that of radiologists. The performance of the computerized analysis system was inferior to the mean performance of the chest radiologists. However, the performance of the computerized analysis system was superior to the mean performance of the residents. From our results, the outputs obtained from the computerized analysis system can be used by radiologists as a "second opinion", and this system could be especially useful to obtain quantitative data for follow-up of known interstitial lung diseases.

Adult↗

Pseudo lesions on CTAP secondary to arterio-portal shunts.

PURPOSE: To clarify the characteristics of the defects on computed tomography (CT) during arterial portography (CTAP) due to arterio-portal shunting (APS). METHOD AND PATIENTS: The defects in the hepatic parenchyma on CTAP due to angiography proven APS were characterized according to their configuration, size, sharpness of margins, location of the lesion in the liver, and homogeneity of the lesions. RESULTS: Twenty five patients had non-tumor related APS. The shunts were single on angiography in 15 cases and multiple in 10 cases. The APS were due to liver cirrhosis in 22 patients, and to trauma in the other three. The lesions were irregular in shape in nine cases, wedge shaped in six cases, and round in four cases. In three cases both wedge and round lesions were seen. The margins were sharp in five single defects in five cases. The rest of the lesions were judged to have unsharp margins except for one case in which both clear and unclear lesions were present. In 10 cases, internal enhancement of the lesions were seen on CTAP. The location of the defects were central in five cases, peripheral in nine, and both peripheral and central in eight cases. CONCLUSION: The parenchymal defects due to APS were typically irregular in shape, with unsharp margins and internal enhancement.

Adult↗

A case of 17alpha-hydroxylase deficiency with symptoms mimicking testicular feminization.

A case of 17alpha-hydroxylase deficiency mimicking testicular feminization is reported. Different from the complete form of testicular feminization in which androgens are normal or elevated and end-organ insensitivity to androgens is supposed, this case had a negligible amount of androgens and responded to the injection of testosterone propionate with a positive nitrogen and phosphate balance.

Adult↗

Biliary pressure measurement: an aid in the management of patients on internal biliary drainage.

To aid in the management of patients with internal biliary drainage catheters, biliary pressure readings are routinely taken. If the pressure is below the secretory pressure of bile (20-30 cm H2O), adequate internal biliary drainage is assured. This is a fast, simple, and reliable technique which can be performed at home by the patient or a visiting nurse. The need to exchange a catheter can now be based on the objective measurement of the biliary pressure.

Aged↗

Height of normal pituitary gland on MR imaging: age and sex differentiation.

Measurement of the pituitary height was performed on magnetic resonance (MR) images of 213 subjects with no known or suspected pituitary and/or hypothalamic disorders. Midsagittal, T1-weighted images were used for measurements and mean heights in each age and sex group were obtained. In the 10 to 69 year range, the pituitary heights were greater in females than in males. The groups of 0-9 years of both genders showed the minimum mean pituitary height. The maximum of the mean height was observed in the 10 to 19 year age groups of both genders. The height gradually decreased with increasing age after age 20 years. There were no subjects with a height of greater than or equal to 9.0 mm in females or greater than or equal to 8.0 mm in males. There was a marked discrepancy between MR and autopsy findings in the older subjects, probably related to the upward concavity that is often encountered in the aged gland. Because of this concavity, the midsagittal MR measurement will induce underestimation of the whole gland.

Age Factors↗

MRI of ossification of ligamentum flavum.

Magnetic resonance imaging of 28 patients with radiological and/or histopathologically proved ossification of the ligamentum flavum (OLF) was reviewed. The locations of OLF were cervical (n = 4), thoracic (n = 22), and lumbar (n = 2). On T1- and T2-weighted images, OLF demonstrated low signal intensity. Areas of high or intermediate signal intensity within the OLF on T1-weighted images were observed in three cases and were interpreted to be due to fat infiltration. In six cases, high intensity areas in the spinal cord caused by compressing OLF were demonstrated on T2-weighted images. Gadolinium-diethylenetriamine pentaacetic acid, which was used in four cases, showed cord enhancement at the level of compression by OLF in three cases.

Aged↗

Optimal timing for delineation of hepatocellular carcinoma in dynamic CT.

OBJECTIVE: The aim of our study was to ascertain the optimal timing and scanning method for detecting hepatocellular carcinoma (HCC) as a high density mass during the early phase of dynamic hepatic CT and to confirm its clinical effectiveness. MATERIALS AND METHODS: We studied retrospectively 39 patients with clinically diagnosed HCC who underwent dynamic hepatic CT. RESULTS: All nine lesions that were scanned within 60 s after initiating injections were detected as high density masses. However, 15 of 21 lesions (71%) that were scanned > 70 s after initiating injections could not be detected as high density masses. Using helical scanning, which permitted scanning the entire liver within 60 s after initiating injections, 27 of 31 lesions (87%) were detected as high density masses. CONCLUSION: We concluded that most HCCs can be detected as high density masses during the early phase of dynamic CT using helical scanning.

Adult↗

Portocaval shunt with unusual CT and MR manifestations.

OBJECTIVE: We investigated the radiological findings of three cases with unusual portocaval shunts. MATERIALS AND METHODS: Three patients with liver cirrhosis and portal hypertension were examined using CT and MRI. CT was performed using intravenous bolus injection of contrast medium in one and with incremental dynamic scanning in two cases. MRI was performed with a 1.5 or 0.5 T superconducting system or with a 0.22 T resistive system in the three patients. RESULTS: CT and MRI showed tortuous intrahepatic tubular structures connecting the right posterior portal vein to the inferior vena cava (IVC) in two of the patients. An anomalous vein arising from the extrahepatic portal vein was a tributary connected with the IVC in one patient. Symptoms associated with hepatic encephalopathy were present in two of the patients whose blood ammonia levels were elevated. CONCLUSION: The possibility of the existence of hepatic encephalopathy should be borne in mind when these shunts are detected during abdominal imaging.

Adult↗

Fractal analysis for classification of ground-glass opacity on high-resolution CT: an in vitro study.

PURPOSE: Fractal analysis based on the fractional Brownian motion model was applied ground-glass opacity on high-resolution CT (HRCT) to investigate its usefulness in distinguishing ground-glass opacity caused by nonfibrotic disease processes and that caused by fibrotic disease processes, confirming pathology. METHOD: Twenty-one postmortem lungs inflated and fixed by Heitzman's method were evaluated. By correlating HRCT and pathology, the lungs were classified into nonfibrotic disease processes and fibrotic disease processes. Fractal analysis based on the fractional Brownian motion model provides the parameter H, which is a statistical measure related to the psychophysical perception of roughness. For regions of interest positioned over ground-glass opacities on HRCT, conventional statistics (mean value and SD) and the estimated H values were calculated using a workstation. RESULTS: Pathologically, 10 lung specimens were categorized as nonfibrotic disease processes and 11 as fibrotic disease processes. Whereas the conventional statistics had considerable overlap in two disease processes, the overlapping was drastically reduced in the H values. The H values of fibrotic disease processes (mean +/- SD, 0.423 +/- 0.064) were significantly greater than those of nonfibrotic disease processes (0.297 +/- 0.036) (p < 0.001). CONCLUSION: Fractal analysis based on the fractional Brownian motion model may provide a new promising scheme for assessing ground-glass opacity on HRCT caused by either nonfibrotic or fibrotic disease processes.

Fractals↗

Local maximum intensity projection (LMIP): a new rendering method for vascular visualization.

PURPOSE: The purpose of our study was to demonstrate a new visualization method (local maximum intensity projection; LMIP) that can clearly depict densitometric as well as geometric information in vascular visualization from 3D data such as obtained from MR and CT angiography. METHOD: LMIP is an extended version of maximum intensity projection (MIP). However, LMIP differs from MIP in that the latter method selects the maximum value along an optical ray, whereas LMIP selects the first local maximum value encountered that is larger than a preselected threshold value along an optical ray from a viewpoint in the viewing direction. RESULTS AND CONCLUSION: Examples are presented in which LMIP is used to visualize renal vessels from CT angiography data and cerebral vessels in the vicinity of an aneurysm from phase-contrast MR angiography data. We demonstrate that LMIP can clearly depict geometric information, as shaded surface display does, and densitometric information, as is done by volume rendering, in a straightforward and objective manner.

Angiography↗

Successful treatment of essential thrombocythemia evolving into agnogenic myeloid metaplasia with interferon-alpha.

PURPOSE: Essential thrombocythemia and agnogenic myeloid metaplasia as one form of idiopathic myelofibrosis are myeloproliferative disorders and are quite rare in children. A patient with essential thrombocythemia that transformed to "adult-type" agnogenic myeloid metaplasia is described. PATIENTS AND METHODS: A routine examination of an 8-year-old girl with bronchial asthma showed thrombocytosis. Essential thrombocythemia was diagnosed 2 years later. During a 3-year follow-up without treatment, transition of the essential thrombocythemia to agnogenic myeloid metaplasia was noticed. The patient had an excellent response to interferon (IFN)-alpha therapy. CONCLUSION: This case is unique because of the availability of premorbid hematologic data and the natural progression of essential thrombocythemia to agnogenic myeloid metaplasia. Whether IFN-alpha therapy can prevent the progression of idiopathic myelofibrosis to leukemia has not yet been determined.

Child↗

Characterization of mucin in the hepatic bile of patients with intrahepatic pigment stones.

To investigate the relationship between biliary mucin and ductular stone formation, mucin was isolated from hepatic bile using gel filtration on Sepharose CL-4B. The bile was obtained from 14 patients with stones in various sites of the biliary tract. The hexose content in the excluded fraction was significantly higher in patients with intrahepatic ductular stones (68.7 +/- 20.5 micrograms/mL; mean +/- s.d.) than in those with gall-bladder stones or extrahepatic ductular stones (23.8 +/- 8.1 micrograms/mL, 33.3 +/- 9.5 micrograms/mL; P less than 0.05), suggesting a higher concentration of mucin in the bile of patients with intrahepatic ductular stones. Ion-exchange chromatography on DEAE-Sephacel showed that most mucin from each material was negatively charged and electrophoretic studies indicated that it was composed mainly of high molecular weight (greater than 10(6)), sulfated glycoprotein. These results suggested that the mucin content of hepatic bile might have an important relation to the development of intrahepatic ductular stones.

Adult↗

Immunohistochemical localization of microcystin-LR in the liver of mice: a study on the pathogenesis of microcystin-LR-induced hepatotoxicity.

The relationship between the intralobular sites of hepatotoxic injury and the distribution of microcystin-LR (MCLR), an inhibitor of protein phosphatases 1 (PP1) and 2A (PP2A), was examined using an immunohistochemical method with a monoclonal antibody specific to MCLR on the livers of mice receiving a single i.p. injection of the MCLR. Immunoblotting and high-performance liquid chromatography analyses of liver extracts were also performed to determine the binding form of MCLR to PP1 and PP2A (MCLR-PP1/PP2A adducts) and free MCLR. Immunohistochemistry revealed a discernible intensity of staining in the centrilobular regions where hemorrhage and apoptosis occurred. In these regions, immunopositivity was evident in the cytoplasm and nuclei of the hepatocytes; some apoptotic cells were also immunopositive. In contrast, coagulative necrosis, which was mainly evident in the midlobular regions, was completely negative. Analysis of liver extracts demonstrated MCLR-PP1/PP2A adducts, but free MCLR was below detection limit. These results suggest that the immunohistochemical localization of MCLR in centrilobular hepatocytes is closely associated with the onset of hemorrhage and apoptosis and is related to adduct formation. The occurrence of coagulative necrosis however might also be related to other factors such as ischemia/hypoxia.

Animals↗

Successful treatment of patients with rheumatic disorders and acquired factor VIII inhibitors with cyclophosphamide and prednisolone combination therapy: two case reports.

Acquired haemophilia associated with autoimmune disorders can be fatal and has been reported to be refractory to steroid therapy alone. We report two cases of female patients, aged 24 years and 54 years, with acquired haemophilia caused by factor VIII inhibitors. Underlying diseases were systemic lupus erythematosus in the 24-year-old patient and rheumatoid arthritis in the 54-year-old patient. Both conditions were nearly quiescent when the patients manifested haemorrhagic diathesis. In response to combination therapy with prednisolone and cyclophosphamide, coagulation abnormalities were resolved together with complete elimination of factor VIII inhibitors in both patients. Thus, combination therapy with alkylating agents may be recommended as initial therapy for the management of autoimmune patients with factor VIII inhibitors.

Adult↗